SHIVA TAFFAZOLI Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209011295

License Status

INACTIVE

Business

First Name

SHIVA

Last Name

TAFFAZOLI

Business Name

SHIVA TAFFAZOLI

Original Issue Date

02/25/2014

Effective Date

03/13/2018

Expiration Date

09/30/2020

City

CHARLESTON

State

Zip

61920

County

COLES

Ever Disciplined

LastModifiedDate

03/12/2018